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Case Reports
. 2021 May;10(2):103-106.
doi: 10.29252/wjps.10.2.103.

Pyoderma Gangrenosum after Breast Mammoplasty Surgery: A Case Report

Chun Wa Fong  1 , Sut Sin Tong  1 , Monica Pon  2 , Yun Fee Lai  1
Affiliations
Case Reports

Pyoderma Gangrenosum after Breast Mammoplasty Surgery: A Case Report

Chun Wa Fong et al. World J Plast Surg. 2021 May.

Abstract

Pyoderma gangrenosum (PG) is a rare inflammatory neutrophilic dermatosis, characterized by painful ulcerative, bullous, or pustular skin conditions. Pathergy is usually used to describe PG which refers to initiation or exacerbation of the disease after accidental or iatrogenic skin trauma. Diagnosis of postoperative PG is challenging not only due to its presentation mimics infectious wounds, but also because there are no standard laboratory parameters for diagnosis. Herein, we present a case of a 46-year-old female patient who had recurrent bilateral breast wound erythema, swelling, pain and necrosis after breast reduction mammoplasty at Centro Hospitalar Conde São Januário Macau SAR in 2018. We diagnosed her postoperative PG and successfully treated her with oral prednisolone with significant therapy response.

Keywords: Breast reduction; Mammoplasty; Pyoderma gangrenosum.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Patient with bilateral macromastia
Fig. 2
Fig. 2
Seven days after bilateral breast reduction mammoplasty, there was dehiscence, erythema and discharge from the T-incisions
Fig. 3
Fig. 3
Bilateral breast wound healing after immunosuppressive therapy
See this image and copyright information in PMC

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